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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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Europa Medicophysica 1998 June;34(2):85-95

language: English

Physical ther­a­py in Parkinson’s dis­ease

Viliani T., Pasquetti P.

Recovery and Functional Rehabilitation Unit, Azienda USL n. 4, Prato, Italy


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The man­age­ment of Parkinson’s dis­ease neces­si­tates a mul­ti­dis­ci­pli­nary, glo­bal ­approach, includ­ing phar­mac­o­log­i­cal and non phar­mac­o­log­i­cal treat­ment. Physical ther­a­py ­aimed at lim­it­ing dis­abil­ity and enhanc­ing func­tion­al capac­ities has an impor­tant ­role in the reha­bil­i­ta­tion of ­patients ­with PD. In the ­present lit­er­a­ture ­review, the ­authors dis­cuss the path­o­gen­e­sis of dis­abil­ity in par­kin­so­nian ­patients, and exam­ine the ­most ­recent find­ings on bra­dik­y­ne­sia and ­gait dis­tur­banc­es. Numerous var­i­ables con­trib­ute to the ­kind of dis­abil­ity ­seen in PD ­patients. It is par­tic­u­lar­ly impor­tant to ­explore the rela­tion­ship ­between capac­ity and func­tion­al stat­us in ­order to ­plan appro­pri­ate pro­grammes of phys­i­cal ther­a­py. Gait, bal­ance and man­u­al abil­ity ­seem to be the crit­i­cal fac­tors in main­tain­ing inde­pen­dent liv­ing. In ­their anal­y­sis of the pub­lished reha­bil­i­ta­tion ­research ­data, the ­authors dis­cuss the modal­ities, ­results and effec­tive­ness of phys­i­cal ther­a­py. They out­line its pos­i­tive ­effects on ­gait, bra­dik­y­ne­sia, rigid­ity and trans­fers, and sug­gest guide­lines for for­mu­lat­ing the reha­bil­i­ta­tion pro­gramme. Attention is ­drawn to the ­lack of system­at­ic stud­ies on the spec­i­fic­ity and ­role of ­motor train­ing, and to sev­er­al ­issues ­that ­remain to be ful­ly under­stood. The ­most impor­tant of ­these is wheth­er phys­i­cal ther­a­py can coun­ter­act the neg­a­tive evo­lu­tion of the dis­ease ­toward dis­abil­ity.

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